An Implementation of Outpatient Online Registration Information

(IJARAI) International Journal of Advanced Research in Artificial Intelligence,
Vol. 4, No.12, 2015
An Implementation of Outpatient Online Registration
Information System of Mutiara Bunda Hospital
Masniah
College of Informatics and Computer Management
STMIK Banjarbaru
Banjarbaru, Indonesia
Abstract—Outpatient care is one of the medical services in
Mutiara Bunda hospital. The management of outpatient
registration of Mutiara Bunda Hospital used conventional way.
Within 1 hour serving, 5 patients were enrolled with an average
time of 13 minutes per patient. This caused the registration
queue to get outpatient services. The study was conducted with
the aim to produce outpatient online registration information
system design of Mutiara Bunda Hospital in order to increase
outpatient registration service and to manage data in getting
medical care.
The patients register on Outpatient Online Registration
Information System without having to come first to the hospital
and get a queue number, so they can estimate the waiting time in
the hospital to get medical care at Mutiara Bunda Hospital; while
the patients who come to the hospital are served directly by the
registrar.
From the results of the research, it can be concluded that the
application of Outpatient Online Registration Information
System help in managing and processing data of patient
registration to be able to get medical care immediately at
Mutiara Bunda Hospital.
Keywords—Online
System
Registration;
I.
Outpatient;
Information
INTRODUCTION
Mutiara Bunda Hospital is a private hospital which
provides medical services to the community including a Home
Care Unit, Emergency Room (ER), Inpatient, Outpatient,
Clinical Laboratory, Pharmacy, and Medical Check Up. In
2015, the outpatient service consists of four polyclinics:
General polyclinic has 8 doctors, Obstetrics and Gynecology
polyclinic has 3 doctors, Medical and Aesthetic Acupuncture
polyclinic has one doctor and Psychology polyclinic has 2
doctors.
In managing outpatient registration, Mutiara Bunda
Hospital used conventional way in which patients came
directly and patient data is recorded on a sheet of paper. This
caused the registration queue in getting outpatient medical
care.
The study was conducted with the aim to produce
outpatient online registration information system design in
Mutiara Bunda Hospital in order to increase outpatient
registration service and to manage data in getting medical care.
II.
THEORITICAL BASIS
A system is a network of interconnected procedures, cohere
to perform an activity or to accomplish a particular goal
(Jogiyanto HM, 2009).
An information system is a man-made system which
provides an integrated set of manual components and
computerized components in order to collect data, process data,
and generate information for users (Sidarta, 1995).
A patient is a person who consults health problems to
obtain the necessary health services either directly or indirectly
to the doctor or dentist. Hospital Management Information
System or HMIS is a communication information technology
system which processes and integrates the entire workflow
process of Hospital services in the form of coordination
network, reporting and administrative procedures for obtaining
information appropriately and accurately; and is part of the
Health Information System (Permenkes No: 269, 2008).
Outpatient is a patient care for observation, diagnosis,
treatment, medical rehabilitation and other health services
without staying in the hospital (Menkes No: 560, 2003).
A good service quality must be provided by a service
business. With the rise of new competitors will lead to intense
competition in obtaining consumers as well as retaining
customers. The observant consumers will naturally choose the
good quality goods and services (Nova, 2010).
Hospital as a public service institution requires the
existence of an information system which is accurate and
reliable, and sufficient to improve services to patients as well
as other relevant environment. With such a broad scope of
services, of course, there are many complex problems which
occur in the process of hospital services. The numbers of
variables in the hospital determine the speed of the information
flow needed by the users and the hospital environment
(Handoyo etc, 2008).
According to Lidia Andriani (2009) in her research entitled
Outpatient Registration Information System in Hospital by
Using a Computer Program, by using Outpatient Registration
Information System, the registration process of outpatients can
be done easily and quickly; avoids double medical record
numbers because this system can detect if there is any identical
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medical record numbers; facilitates registrar in printing
medical cards, patients’ identity and patient visit; provides
information of daily and monthly reports quickly and the type
of report may vary according to the needs; and saves time and
energy of the patient registrars.
B. System Design
a) Context Diagram
Dwi Parawanto (2012), in his research entitled Patient
Administration and Registration Information Systems in
SADEWA Mother and Child Hospital, generated Patient
Administration and Registration Information Systems which
processes data of patients, doctors, employees, examinations
and administrations. The data then was considered as
references for decision making by the doctors or the hospital,
thus the services to patients would be improved.
According to Gunawan Susanto and Sukadi (2012), in their
journal entitled Medical Record Information Systems On
Regional Public Hospital (RPH) of Pacitan Web-Base Based,
by developing a web-based medical record information system
in RPH of Pacitan double medical records can be reduced and
searching of medical record status can be done quickly, this
overcame the medical record keeping system which has been
used previously. The previous system stored the patients’
medical records locally where the patients were examined and
treated, this did not allow the direct data exchanging. This
medical record information system helps medical personnel to
carry out health services to patients.
Bambang Eka Purnama and Sri Hartati (2012), in their
journal entitled Conveniences and Benefits of Patient Medical
Database and Elasticity for Therapy Accessibility in Different
Locations, explained that the Medical Record Information
System which has been developed based on the standard
among hospitals and clinics provides the benefits of
conveniences and records of patient's medical history so that
the number misdiagnosis and malpractices can be pressed.
Ahmad Anshari and Bambang E P (2013), in their journal
entitled Distributed Data Patient In Medical
Record
Information System, with the Information system will be able
to overcome the problem of data search quickly at a hospital.
Patients who visit any hospital will feel comfortable and Mall
practice would be suppressed because can easily find previous
patient history data, so as to determine the subsequent
diagnosis becomes easier.
III.
Fig. 1. Context Diagram
b) Use Case Diagram
Use Case diagram illustrates the common features of the
Outpatient Online Registration Information System of Mutiara
Bunda Hospital. To get into the system, the user must log in
first.
SYSTEM ANALYSIS AND DESIGN
A. Problem Analysis
In the system of patient registration processing at Mutiara
Bunda Hospital, there were several constraints in the
processing and reporting of patient registration data. Based on
interviews with registrar, revealed that the records of
outpatients data used conventional way in which the data was
written on sheets of paper in a large book. The number of
patients in a doctor's practice schedule has been determined.
Searching in the book caused the patients who came directly
did not get queued at their desire. The long queues of patients
caused the requirement of an online information system so the
registration process will be faster and more efficient
Fig. 2. Use Case of User
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c) Activity Diagram
Fig. 5. Diagram Activity of Queue List
Fig 5. Activity diagram of queue list describes the process
when the user enrolls for registration queue to get treatment or
consultation with a doctor in Mutiara Bunda hospital.
Fig. 3. Use Case of Director
Fig. 6. Diagram Activity New of Patient List
Fig 6. Activity diagram of patient list illustrates the process
of registering as new patients on Web page of Outpatient
Online Registration Information System of Mutiara Bunda
Hospital.
Fig. 4. Use Case of Admin
Fig. 7. Diagram Activity of Report
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Fig 7. Activity diagram of report describes the activity
processes of making a report to printing the report.
d) Sequence Diagram
Fig 9.Sequence diagram of Patient List illustrate the
process of registering as a new patient on Outpatient Online
Registration Information System Web page of Mutiara Bunda
Hospital.
Fig. 8. Sequence Diagram of Queue List
Fig 8. Sequence Diagram of Queue list describe the process
when the user enrolls for registration queue to get treatment or
consultation with a doctor in Mutiara Bunda hospital.
Fig. 10. Sequence Diagram of Report
Fig 10. Sequence Diagram of Report describes the activity
processes of making to printing a report.
e) Database Model
Fig. 9. Sequence Diagram of Patient List
Fig. 11. Database Model
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f) Database Design
TABLE VIII. PATIENT
TABLE I.
Field Name
user_name
pass_word
Level
TABLE USER
Type
varchar(12)
varchar(12)
varchar(1)
Information
PRIMARY
Director, user & admin
TABLE II.
Field Name
Date
user_name
Complaint
patient_id
register_time
Type
Date
varchar(12)
Text
varchar(5)
Time
TABLE III.
Field Name
ERN
employee_name
birth_place
birth_date
sex
address
position
marriage_status
blood_type
TABLE QUEUE
Information
FOREIGN
TABLE EMPLOYEE
Type
varchar(5)
varchar(35)
varchar(35)
Date
varchar(1)
Text
varchar(55)
varchar(1)
varchar(2)
TABLE IV.
Field Name
medicine_code
medicine_name
medicine_price
medicine_categ
ory
Information
PRIMARY
-
varchar(1)
-
Type
varchar(5)
varchar(35)
varchar(35)
varchar(5)
TABLE VI.
Field Name
prescription_no
patient_id
medicine_code
ERN
consultation_fee
consultation_date
doctor_id
Type
varchar(15)
varchar(5)
varchar(15)
varchar(5)
int(11)
Date
varchar(5)
TABLE VII.
Field Name
patient_id
user_name
TABLE MEDICINE
Type
varchar(15)
varchar(25)
int(11)
TABLE V.
Field Name
ERN
doctor_name
Specialist
doctor_id
Information
PRIMARY
-
Type
varchar(5)
varchar(12)
Field Name
patient_id
full_name
birth_place
birth_date
Sex
Address
occupation
marriage_status
blood_type
Height
Weight
Type
varchar(5)
varchar(35)
varchar(35)
Date
varchar(1)
Text
varchar(55)
varchar(1)
varchar(2)
int(11)
int(11)
TABLE IX.
Field Name
ERN
user_name
TABLE EMPLOYEE USER
Type
varchar(5)
varchar(12)
TABLE X.
Field Name
hospital_name
phone_no.
E-mail
Address
Owner
license_no.
Website
Information
PRIMARY
-
Type
varchar(35)
varchar(15)
varchar(35)
Text
varchar(35)
varchar(35)
varchar(35)
Information
FOREIGN
FOREIGN
IDENTITY HOSPITAL
Information
Hospital Name
Phone Number
Number of Licensing
Hospital Website
g) Interface Design
TABLE DOCTOR
Information
FOREIGN
Name
PRIMARY
CONSULTATION
Fig. 12. Home Page
Information
FOREIGN
FOREIGN
FOREIGN
FOREIGN
PATIENT USER
Information
FOREIGN
FOREIGN
Fig. 13. Login Form
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B. Display Interface
Fig. 17. Display of Homepage
Fig. 14. Admin Dashboard
Fig 17. Display of Homepage Outpatients Online
Registration Information System has a main page which
contains the login form used to authenticate the user in order to
access the system, a link to the registration form (register now)
used for user registration, and display of the service schedule
and the number of queues.
Fig. 15. Employee Dashboard
Fig. 18. Display of Form Login
Fig 18. Display the Login Form, user must enter a user
name and password in order to access the Outpatients Online
Registration Information System. If the user is a patient, then
the user who has not been registered can register an account by
clicking "Register now”.
Fig. 16. Patient Registration Dashboard
IV.
IMPLEMENTATION OF THE SYSTEMS
A. The Users of Outpatients Online Registration Information
System
The users of outpatient online registration information
system are administrator who is the holder of the highest
privileges in the system, doctors, staff and patients.
Fig. 19. Display of the Employee Data Page
Fig 19. Display the Employee Data Page, the user can
control the data by adding, changing, or deleting the data of
employees.
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Fig. 20. Display of Outpatients Online Registration
Fig 20. Display of outpatients online registration, the
patients who have filled the form on Outpatients Online
Registration Information System will get queue numbers which
can be be printed.
V.
CONCLUSION
From the results of research, it can be concluded that:
1) The average time of outpatient registration in Mutiara
Bunda Hospital conventionally per patient was 13 minutes
which includes acceptance of patients, recording the patient’s
identity, storing data, and taking medical records of patients.
Within 1 hour, only about 5 patients registration can be
served.
2) On the Outpatients Online Registration System, the
patients can register online without having to come to the
hospital first, and they get queue numbers so they can estimate
waiting time in the hospital to get medical care from Mutiara
Bunda Hospital. While the patients who come directly to the
hospital will received by the registrar.
3) After applying the Outpatient Online Registration
Information System, number of patients served in 1 hour is
approximately 12 patients. This means the application of
Outpatient Online Registration Information System help to
manage and process of patient registration data to be able to
get medical care at Mutiara Bunda Hospital immediately.
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